Individual
JASON MARC MARCHETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
546 E SANDY LAKE RD, STE 250, COPPELL, TX 75019-5791
(469) 307-5109
(888) 417-4939
Mailing address
600 W CAMPBELL RD STE 7, RICHARDSON, TX 75080-3357
(469) 307-5109
(888) 417-4939
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
L7470
TX
Other
Enumeration date
06/18/2006
Last updated
11/28/2016
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